4 OSBORNE HILL DR - BUILDING INSPECTION What is the current use of the Building?
Material of Building? �HG�" If dwelling. how many units?
Will the Building Conform to Law? �iL' S' Asbestos? /v'd
Archited's Name
Address and Phone ( I
Mechanic's Name {
Address and Phone Ai -7 !�K ill y` Dt lfD
Construction Supervisors License# 71 HIC Registration#
Estimated Cost of Project i ✓��ODO Permit Fes Calculation
Permit Fee$ s Estimated Cost X$7/$1000 Residential
Estimated Cost X$11/$1000 Commercial
An Additional $5.00 is added as an
Administrative charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to bpi the above stated
specifications. Signed under penalty of perjury X
Date 4
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Professional Land Surveyors 8 Civil Engineers -
ESSEX SURVEY SERVICE 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADFORD & WEED 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
ShZ,�:/61 MASS.
OPL-k 13
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L7 30 ,
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I hereby certify to the e OLc-/7
Building Inspector that the pro-
ZONE: LOT AREA: ',14 LOT FRONTAGE: Al posed construction shown conforms
T to the-dimensional zo
FRONT YARD: A7 `i SIDE YARD: &/ REAR YARD: �a /
J/fLc%� Mass. �(H OF
SCALE: / '. AID i? �; p CHRISTOPHERR.
DATE: Akk' 3 2,007 d MELLO
• '� ,p No.31317 O
REFERENCE: WL BK 4Z PG 75/ Chri opher R. Mello gs'
104 LOWELL STREET
PEABODY, MASS. 01960
(978) 531-8121
FAX: (978) 531-5920
�/ EI'TrOFS LENL r -- -
PUBLIC PROPERTY
DEPARTMENT
Kmai l-EV ORMOLL
MAYOR 1220 WAtia N=W b"MM-7•SMEK MASM041:SLI-M 01970
141971-745.959S 0 FAX 976-740.98"
APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION,
DEMOLITION, OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTLNG
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Narne: Building:
Property Address: /� a/� ,
Gddf/0"1-� '�Ds,�av�-mac 'lax ; ivC
Property Is located in a;Conservation Area Y/N Historic District YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land _
Name: 1ST
Address: �1�X 7d-',,;? �
Telephone:
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation
of existing building New
Brief Description of Proposed Work:
-- - -- -----Mail Permit to: ----